UNDERSTANDING LITHOTRIPSY - DONE WORLDWIDE AS FIRSTLINE TREATMENT FOR STONES 4 MM TO 20 MM .
HOW IT WORKS ?
गुर्दे की पथरी का सफल इलाज बगैर ऑपरेशन के किरणों दवारा I
ESWL / Extracorporeal Shock-Wave Lithotripsy Process In Brief
We are successfully treating Kidney Stones up to the size of 28 mm by SOUND WAVE TECHNOLOGY or ESWL or LITHOTRIPSY without DJ stenting in most cases.
For stone sizes of 4 mm to large size upto 40 mm in Kidneys, Ureter and Bladder can be turned Into Fine Particles / Dust by SOUND WAVES/LASER.
Other Laser Technologies in UROLIFE .
RIRS (Retrograde Intrarenal Renoscopy)
This Technology is done through Urinary Tract. No Cut is given on Body .
FREE CONSULTATION ON SUNDAYS 12 NOON TO 4 PM CALL 9990346046 FOR APPOINTMENT
RIRS: Using an endoscope or thin flexible tube, the stone is seen and reached and fragmented through laser energy and then retrieved without any cut. …...Read More
URS: Using the natural urinary passage endoscope which is flexible or rigid is passed to fragment and remove stones in ureter. …...Read More
CYSTOSCOPY: Done to remove bladder stone of any size, this uses an endoscope fitted with laser to fragment the stone. …...Read More
ESWL /Lithotripsy: Stone removal using focussed shock waves which fragment the stone to sand or powder form which gets drained out along with urine. …..……..Read More
PCNL: Minimal invasive procedure to remove kidney stone where a scope of 10 mm is passed and stone is removed in fragments through laser energy …..……..Read More
|2 to 4 mm||Medicines, ESWL|
|4 to 12 mm||ESWL, URS, RIRS|
|Upto 15 mm||URS, RIRS|
|Upto 25 mm||ESWL, PCNL|
|UPTO 38 mm||PCNL with ESWL if retained fragments|
|UPTO 45 mm size in bladder||CYSTOSCOPY|
I think it is the right place for the uninsured , treatment was perfect although night sleep got disturbed due to noise ,My recommendations to Urolife
22/1 Gulmohar Apartments Delhi
I was treated by laser and got urs done , stay and recovery was quite good .mY best wishes to Urolife
lndia House building Indore
I was supposed to travel but due to sudden pain I was hospitalised .I was sure to miss my schedule but when I contacted Urolife I was guided well .I was stone free in next two days .Thanks
221 DLF phase 1
Medicines can only expel small 4 to 5 mm stones possibly however larger stones need fragmentation and removal in a single step.
Diagnosis will be primarily done to establish the location and size of stone and hardness too needs to be established in certain cases of ESWL .After blood tests including kidney function and bleeding time, the procedure options will be discussed with patient and decided by the specialist doctors.
Laser stone removal and ESWL along with MiniPCNL procedures have been refined and are use in India.
Single and multiple stones of various chemical compositions, size and shapes can be treated using different technology.
Yes recurrent stones can be treated, however modalities might differ because of previous surgeries if any. This treatment plan is finalised during consultation.
Lasers are used as latest option worldwide due to its fragmenting property which is free of blood loss and with no down time .Types of laser differ in different stone removal techniques.
Scientific and non-invasive procedure to disintegrate Kidney, Ureteric and Bladder Stones without surgery by ESWL machine done worldwide.
Flexible uretroscopy ,RIRS .cystoscopy PCNL MINIPCNL are all techniques where no cut is given.
No cutting, no damage to kidney or other vital organs, international popular procedure....
Most cases in Urolife are treated by ESWL and gives result of stone free status after one or two sessions which are confirmed by ultrasound.
In plain terms uretroscopy is the procedure where a ureteroscope (instrument with a light source and laser ) is used and URS is the treatment using this to remove ureteric stones .Similarly RIRS (Retrograde intrarenal surgery )is a similar process wherein a flexible ureteroscope is used and this is especially done to fragment and remove renal stones.
Hence no rest is needed and patient can resume work within two days.
The treatment time for ESWL or lithotripsy is one hour per sitting after which the patient can resume normal activity ,the total number of sittings will be decided by doctor in consultation .URS ,RIRS take one hour duration in process and patient is admitted for one night , whereas PCNL and MiniPCNL takes 1 and half hour approximately .However these timings can vary in complex cases.
Patients are screened for kidney function and once that is normal along with anaesthetic clearance these procedures can be performed.
The stone is taken out using a vacuum there and then and few left over particles get drained out through normal urinary passage .J stent facilitates this process.
Urologists, imaging specialist along with nephrologists and anaesthetists work as team in each case. In complicated cases other specialists opinion is also sought.
No, because stones are converted to small 2 to 3 mm particles and they easily flow through normal passage whereas most of it is sucked out during the process.
Yes, the chances are strong as the process of stone formation in body is not addressed ,however in Urolife ,proper stone analysis will be followed by diet charting and medications to stop recurrences.
In Urolife the results after each techniques are confirmed by ultrasound and x rays ,in certain cases CT scans too are needed.
Different centres follow specific protocols depending on technology available in hand , and in Urolife ESWL and ureteroscopy are first line treatments as far as possible they are non surgical.
Cost of ESWL ranges depending on location and size from 15 thousand to 35 thousand excluding the stenting cost.
These stones obstruct the flow of urine and lead to stagnation causing infection in kidneys and tract and eventually loss of renal function which becomes serious.
Several food and water compounds do not get metabolised and precipitate as insoluble particles which gets build up in course of time leading to stones. Cetain metabolic disturbances in body too are responsible and all these are part of prevention protocol in Urolife centre.
Yes high oxalate and calcium rich foods are responsible for stone formation, whereas few synthetic compounds in preservatives too have a role.
It appears that stones can form in as short a period of time as three months or can take long depending on water intake and climatic factors and dietary habits.
Stones in kidney or ureter can pass out naturally by drinking lots of water however the size should not be more than 4 mm .Larger stones upto 6 mm too are known to pass out naturally but can cause lot of pain and bleeding or internal abrasion and trying this out is full of such risks.
It is a hollow light weight tube lesser than the diameter of ureter which is placed from kidney to urinary bladder to ensure proper passage of urine and particles.
It’s a simple procedure done in aseptic conditions where the tip of stent is held to be taken out the patient is able to walk away after passing urine once.
In safe hands this should not happen until a stone fragment is left which causes pain.
Overnight fasting and few blood tests is all that is needed and patient can resume food and water intake the same day.
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